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Hemodialysis PatientsNCT04645459

The Influence of Low Phosphorus in Hemodialysis Patients

A study testing low phosphorus meals in people with Hemodialysis Patients, run by Taipei Medical University at 1 site in Taiwan.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Consuming high levels of dietary phosphate and poor adherence of phosphate-binding-therapy might induce hyperphosphatemia in the hemodialysis (HD) patients. Therefore, the risks of Chronic Kidney Disease-related Mineral and Bone Disorders (CKD-MBDs) and inflammation will be increased. Read more about this study

Who is it for?
Ages 20 to 80 years
Conditions the study is for
Hemodialysis Patients
What is being tested?
low phosphorus meals
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
80 participants
Where
1 siteTaiwan
Study dates
3 Dec 2020to 28 May 2021
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Hemodialysis patients, ≥ 20 years of age

Who cannot join

  • ≥ 80 years of age, liver cirrhosis, cancer, pregnancy, vegetarian

Trial locations and contacts

1 site in 1 country.

Barbara Y.J. Chen contact

+886963358528

d507103001@tmu.edu.tw

Taiwan1 site, 1 recruiting
  • Shuang Ho Hospital

    New Taipei City

    Mai-Szu Wu, +886(2)28837300, maiszuwu@tmu.edu.tw

    Recruiting

Other trials in Taiwan

About this study

Official title: The Influence of Low Phosphorus Meals on Serum Phosphorus Concentration and Inflammatory Indicators in Hemodialysis Patients

Consuming high levels of dietary phosphate and poor adherence of phosphate-binding-therapy might induce hyperphosphatemia in the hemodialysis (HD) patients. Therefore, the risks of Chronic Kidney Disease-related Mineral and Bone Disorders (CKD-MBDs) and inflammation will be increased. This double blind and intervention randomized controlled trial study will be designed to investigate the hypothesis that if low phosphorus meals decrease serum phosphorus concentration and inflammatory indicators. A total of 80 HD patients in the HD center of Shuang Ho Hospital will be recruited and be assigned to low phosphorus meal group (LP group) and control group randomly before one-week-washout period. The subjects of LP group and control group will consume low phosphorus meals and standard meals respectively. During washout period and study period, all subjects will continue to consume their regular breakfast and take one tablet of calcium carbonate with meal. All data will be collected at baseline, one week after the washout period, and the end of the 7-days-study period. The indicators are including dietary contents, phosphate binder administration, indicators of dialysis adequacy, nutritional indicators, blood lipid indicators, biochemical indicators, CKD-MBDs indicators, and inflammation indicators. Data were analyzed by Statistical Product and Service Solutions program version 18. Paired t-test, Student's t-test, Pearson correlation coefficient and Logistic regression will be used. P < 0.05 will be considered as statistically significant.

Read the detailed description

Study Design and Subjects:

This study was design as a randomized, double-blind control trail. A total of 80 HD patients were recruited from the HD center of Taipei Medical University-Shuang Ho Hospital in Taiwan. The inclusion criteria were including ≧20 years old and non vegetarian. The exclusion criteria are including liver dysfunction, cancer and pregnancy.

Dietary Intervention:

All subjects followed their usual diets but took one tablet of calcium carbonate as phosphate binder per meal for the first week washout diet. After washout diet, subjects were assign to control or study group randomly and entered to the study period for one week. The diets of the study group were low phosphorus ( LP group), but the dietary phosphorous levels of the control group were not modified. During the study period, all subjects including LP group and control group still kept their usually accustomed behavior about regular breakfast and also took one tablet of calcium carbonate as phosphate binder with every breakfast meal. The LP group and control group replaced daily lunch and dinner with low phosphorus and standard meals respectively and should not take any phosphate binder during the study period for one week.

For controlling the volumes of proteins, phosphorus and calcium easily, the main courses of both of the study and the control meals were made by a central kitchen. All of the meals contained 3 exchanges of protein (25 g) and 1 exchange of vegetable. There were 5 main courses for the both diets. The proteins of the study meals had been removed by an average 20 -30% of the phosphorus through boiling the meats before cooking process. But the boiling method did not process for the control meals. Every meal including all the study and the control meals contained one tablet of calcium carbonate. As a consequence, the additional phosphate binders should not be taken while eating the study meals. The subjects had to prepare carbohydrate by themselves, and they could choose any source of carbohydrate as their wants.

Data Collection:

The personal characteristics and the anthropometry data were collected at baseline. All data were collected at baseline, one week after the washout period, and the end of the 7-days-study period. The indicators were including dietary contents, phosphate binder administration, dialysis adequacy, nutritional indicators, blood lipid indicators, biochemical indicators, CKD-MBDs indicators, and inflammation indicators.

Being tested
low phosphorus meals, control meals

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • low phosphorus mealsOther

    All subjects followed their usual diets but took one tablet of calcium carbonate as phosphate binder per meal for the first week washout diet. After washout diet, subjects were assign to control or study group randomly and entered to the study period for one week. The diets of the study group were low phosphorus ( LP group), but the dietary phosphorous levels of the control group were not modified. During the study period, all subjects including LP group and control group still kept their usually accustomed behavior about regular breakfast and also took one tablet of calcium carbonate as phosphate binder with every breakfast meal. The LP group and control group replaced daily lunch and dinner with low phosphorus and standard meals respectively and should not take any phosphate binder during the study period for one week.

  • control mealsOther

    All subjects followed their usual diets but took one tablet of calcium carbonate as phosphate binder per meal for the first week washout diet. After washout diet, subjects were assign to control or study group randomly and entered to the study period for one week. The diets of the study group were low phosphorus ( LP group), but the dietary phosphorous levels of the control group were not modified. During the study period, all subjects including LP group and control group still kept their usually accustomed behavior about regular breakfast and also took one tablet of calcium carbonate as phosphate binder with every breakfast meal. The LP group and control group replaced daily lunch and dinner with low phosphorus and standard meals respectively and should not take any phosphate binder during the study period for one week.

Study groups in NCT04645459
Study groupRoleWhat they receive
low phosphorus meal group (LP group)ExperimentalThe proteins of the low phosphorus meal had been removed by an average 20 -30% of the phosphorus through boiling the meats before cooking process.
Receives: Other: low phosphorus meals
control groupPlacebo comparatorThe boiling method did not process for the control meals.
Receives: Other: control meals

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. anthropometric measurement

    body height (cm)

    Measured: baseline

  2. anthropometric measurement

    body height (cm)

    Measured: one week after the washout period

  3. anthropometric measurement

    body height (cm)

    Measured: the end of the 7-days-study period

  4. anthropometric measurement

    body weight before hemodialysis (Kg), dry weight (Kg)

    Measured: baseline

  5. anthropometric measurement

    body weight before hemodialysis (Kg), dry weight (Kg)

    Measured: one week after the washout period

  6. anthropometric measurement

    body weight before hemodialysis (Kg), dry weight (Kg)

    Measured: the end of the 7-days-study period

  7. blood pressure

    systolic blood pressure (mmHg), diastolic blood pressure (mmHg)

    Measured: baseline

  8. blood pressure

    systolic blood pressure (mmHg), diastolic blood pressure (mmHg)

    Measured: one week after the washout period

  9. blood pressure

    systolic blood pressure (mmHg), diastolic blood pressure (mmHg)

    Measured: the end of the 7-days-study period

  10. dietary contents

    24-hour dietary recall

    Measured: baseline

  11. dietary contents

    24-hour dietary recall

    Measured: one week after the washout period

  12. dietary contents

    24-hour dietary recall

    Measured: the end of the 7-days-study period

  13. phosphate binder administration

    type and dosing frequency

    Measured: baseline

  14. phosphate binder administration

    type and dosing frequency

    Measured: one week after the washout period

  15. phosphate binder administration

    type and dosing frequency

    Measured: the end of the 7-days-study period

  16. indicators of dialysis adequacy

    Kt/V

    Measured: baseline

  17. indicators of dialysis adequacy

    Kt/V

    Measured: one week after the washout period

  18. indicators of dialysis adequacy

    Kt/V

    Measured: the end of the 7-days-study period

  19. blood lipid indicators

    LDL(mg/dL), HDL (mg/dL) , cholesterol (mg/dL) , triglyceride (mg/dL)

    Measured: baseline

  20. blood lipid indicators

    LDL(mg/dL), HDL (mg/dL) , cholesterol (mg/dL) , triglyceride (mg/dL)

    Measured: one week after the washout period

  21. blood lipid indicators

    LDL(mg/dL), HDL (mg/dL) , cholesterol (mg/dL) , triglyceride (mg/dL)

    Measured: the end of the 7-days-study period

  22. biochemical indicators

    normalized protein equivalent of total nitrogen appearance(g/kg/d)

    Measured: baseline

  23. biochemical indicators

    normalized protein equivalent of total nitrogen appearance(g/kg/d)

    Measured: one week after the washout period

  24. biochemical indicators

    normalized protein equivalent of total nitrogen appearance(g/kg/d)

    Measured: the end of the 7-days-study period

  25. biochemical indicators

    pre-Alb(mg/dL)

    Measured: baseline

  26. biochemical indicators

    pre-Alb(mg/dL)

    Measured: one week after the washout period

  27. biochemical indicators

    pre-Alb(mg/dL)

    Measured: the end of the 7-days-study period

  28. biochemical indicators

    ferritin(ng/mL)

    Measured: baseline

  29. biochemical indicators

    ferritin(ng/mL)

    Measured: one week after the washout period

  30. biochemical indicators

    ferritin(ng/mL)

    Measured: the end of the 7-days-study period

  31. biochemical indicators

    red blood cell (10^6/μL), white blood count(10^3/μL)

    Measured: baseline

  32. biochemical indicators

    red blood cell (10^6/μL), white blood count(10^3/μL)

    Measured: one week after the washout period

  33. biochemical indicators

    red blood cell (10^6/μL), white blood count(10^3/μL)

    Measured: the end of the 7-days-study period

  34. biochemical indicators

    Hb (g/dL)

    Measured: baseline

  35. biochemical indicators

    Hb (g/dL)

    Measured: one week after the washout period

  36. biochemical indicators

    Hb (g/dL)

    Measured: the end of the 7-days-study period

  37. biochemical indicators

    Hct (%)

    Measured: baseline

  38. biochemical indicators

    Hct (%)

    Measured: one week after the washout period

  39. biochemical indicators

    Hct (%)

    Measured: the end of the 7-days-study period

  40. biochemical indicators

    FGF23

    Measured: baseline

  41. biochemical indicators

    FGF23

    Measured: one week after the washout period

  42. biochemical indicators

    FGF23

    Measured: the end of the 7-days-study period

  43. biochemical indicators

    iPTH (pg/mL)

    Measured: baseline

  44. biochemical indicators

    iPTH (pg/mL)

    Measured: one week after the washout period

  45. biochemical indicators

    iPTH (pg/mL)

    Measured: the end of the 7-days-study period

  46. biochemical indicators

    blood urea nitrogen(mg/dL) , creatinine(mg/dL) , uric acid(mg/dL)

    Measured: baseline

  47. biochemical indicators

    blood urea nitrogen(mg/dL) , creatinine(mg/dL) , uric acid(mg/dL)

    Measured: one week after the washout period

  48. biochemical indicators

    blood urea nitrogen(mg/dL) , creatinine(mg/dL) , uric acid(mg/dL)

    Measured: the end of the 7-days-study period

  49. biochemical indicators

    estimated glomerular filtration rate (ml/min/1.73m^2)

    Measured: baseline

  50. biochemical indicators

    estimated glomerular filtration rate (ml/min/1.73m^2)

    Measured: one week after the washout period

  51. biochemical indicators

    estimated glomerular filtration rate (ml/min/1.73m^2)

    Measured: the end of the 7-days-study period

  52. inflammation indicators

    C reactive protein (mg/dL)

    Measured: baseline

  53. inflammation indicators

    C reactive protein (mg/dL)

    Measured: one week after the washout period

  54. inflammation indicators

    C reactive protein (mg/dL)

    Measured: the end of the 7-days-study period

  55. inflammation indicators

    interleukin-1 (pg/mL) , interleukin-6 (pg/mL) , tumor necrosis factor-α (pg/mL)

    Measured: baseline

  56. inflammation indicators

    interleukin-1 (pg/mL) , interleukin-6 (pg/mL) , tumor necrosis factor-α (pg/mL)

    Measured: one week after the washout period

  57. inflammation indicators

    interleukin-1 (pg/mL) , interleukin-6 (pg/mL) , tumor necrosis factor-α (pg/mL)

    Measured: the end of the 7-days-study period

  58. Electrolyte

    P(mg/dL), Ca(mg/dL), Mg(mg/dL)

    Measured: baseline

  59. Electrolyte

    P(mg/dL), Ca(mg/dL), Mg(mg/dL)

    Measured: one week after the washout period

  60. Electrolyte

    P(mg/dL), Ca(mg/dL), Mg(mg/dL)

    Measured: the end of the 7-days-study period

  61. Electrolyte

    K(mEq/L), Na(mEq/L)

    Measured: baseline

  62. Electrolyte

    K(mEq/L), Na(mEq/L)

    Measured: one week after the washout period

  63. Electrolyte

    K(mEq/L), Na(mEq/L)

    Measured: the end of the 7-days-study period

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Nov 2020
  2. Study start3 Dec 2020 (estimated)
  3. Primary completion28 May 2021 (estimated)
  4. Study completion28 May 2021 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Care provider
Enrolment
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04645459
Sponsor's protocol ID
N202004062
Status last verified
May 2020
First submitted
15 Oct 2020
Last updated
4 Dec 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing low phosphorus meals in people with Hemodialysis Patients, run by Taipei Medical University at 1 site in Taiwan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 4 Dec 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Barbara Y.J. Chen (+886963358528, d507103001@tmu.edu.tw), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

anthropometric measurement (time frame: baseline). The study lists 63 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Dec 2020.

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